00:00 Welcome back to Pinoy MD!
00:01 And as I mentioned, this morning, we have our resident obstetrician gynecologist, Doc Q,
00:08 to answer your health-related questions.
00:12 So here he is, I'm nervous in the flesh.
00:16 Doc Q, good morning!
00:17 Good morning, Connie, and good morning to our guests today.
00:21 But before that, I'd like to wish them a Merry Christmas.
00:24 Yes, Merry, Merry Christmas!
00:26 And it's even more merry if you can answer the first question.
00:29 And they can also have a Christmas if they're with us.
00:32 And our first question, Doc,
00:34 what can be taken to stop her menstruation?
00:38 And is it safe?
00:40 The question is from Rico A.
00:42 Rico is probably being asked by his wife.
00:45 Yes.
00:46 There are many medicines, Connie.
00:47 We have tranexamic acid to stop the bleeding of a woman.
00:55 It will only weaken her bleeding. We have anti-inflammatory drugs.
01:00 But before we give those, we need to know the reasons why a woman's bleeding is so strong.
01:10 We have organic and non-organic causes.
01:12 There are tumors in the uterus that can cause bleeding.
01:16 There are polyps, malignancies, cancers in the lining of the uterus that can also weaken her menstruation.
01:25 There are also endocrine problems, like hyperthyroidism and hypothyroidism.
01:29 There are hormonal imbalances.
01:31 There are also problems in the ovaries that malfunction.
01:36 The ovaries cannot produce progesterone, there is more estrogen, or vice versa.
01:41 So there are problems in regulating.
01:45 We can give medicines.
01:47 It also depends on the age.
01:48 Maybe perimenopause.
01:50 During the perimenopause period or even in adolescents,
01:53 while their hormonal levels are still adjusting, abnormal uterine bleeding can also occur.
01:58 I see.
01:59 But there are many medicines.
02:01 So they should consult an obstetrician or gynecologist.
02:04 We always emphasize not to self-medicate.
02:06 Yes, that's right.
02:07 Alright, this is the next question.
02:09 Is it possible for the baby to be born normally if the ultrasound results show that the uterus is breached?
02:18 The uterus or the uterus.
02:20 Yes, that question is from Ed S.
02:23 All men ask this question.
02:25 But it depends, Connie, if the ultrasound results are in the early part of the pregnancy.
02:31 Because normally, the baby is moving around because there are many fluids there.
02:36 So the baby can move around.
02:38 But if the baby reaches 32 weeks, around 8 months of pregnancy, and it's still bleeding,
02:43 chances are the baby won't move around.
02:45 So if it's the first pregnancy, it's safer for the baby to have a cesarean section.
02:51 But if it's the second or third pregnancy, and the first pregnancy is a normal delivery,
02:57 which means the pelvic capacity is tested, or the baby is not that big,
03:02 the obstetrician can attempt to deliver the baby via vaginal route.
03:07 The indications of a cesarean section in a breached presentation is if there is a fetal compromise,
03:14 the baby's heart rate is low, or the labor is really long because the baby is big,
03:20 and the baby is forced to be taken out of the womb, and the baby is not able to come out.
03:24 Or the cord, because it's very common in breached presentations,
03:27 the cord that comes out, what we call cord prolapse,
03:30 if a doctor sees that, and there is no problem with the baby,
03:37 the cesarean section is really necessary because it's an emergency.
03:40 We've heard a lot about those who are in a breached presentation.
03:43 Yes, but the breached presentation of the uterus can be done in a normal presentation.
03:48 Alright, we've learned a lot.
03:51 The next question, Doc.
03:52 Is it normal if the baby has a dark discharge for three days, but there's no smell?
03:59 Your question is to Monk A. Tech.
04:03 Monk is a man.
04:05 It's normal, Connie, because if you have a blackish discharge after menstruation,
04:11 it means that this is the blood that didn't come out immediately.
04:15 So if it's stored in the uterus, there's an oxidation reaction.
04:19 The oxygen reacts with the blood, so it turns reddish brown.
04:24 And if it hasn't come out yet, it turns black.
04:26 So if there's no smell, it's not a problem.
04:29 Alright, lastly, Doc.
04:32 A 14-year-old girl has experienced a tear in her private part.
04:38 What is the reason for that, and what are the home remedies?
04:42 The most common factor or cause of a tear in a woman's private part,
04:49 especially in young people, is hygiene.
04:52 They need to be taught how to wash their private parts after urination or pooping.
05:00 But there are also infections.
05:02 At that age, they can have hormonal imbalances that will predispose them to some kinds of infections.
05:11 This doesn't happen often, but it's possible that she's a victim of sexual violence.
05:18 So we need to look at that aspect.
05:20 Sometimes, the child is afraid to say that something happened to her.
05:25 Again, the quickest way to determine is to consult your nearest doctor and trust your OB-GYN.
05:35 Correct.
05:36 Thank you so very much, Doc.
05:38 My pleasure.
05:39 Thank you to all of our viewers who sent us questions and trusted us for the past 13 years.
05:45 13 years, right?
05:46 Yes.
05:47 But of course, if you still have questions, just send them to our Facebook page.
05:53 And of course, you can ask us the next question we'll answer next week.
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